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	<title>Comments on: The buck passed here</title>
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	<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/</link>
	<description>Just another Pajamasmedia.com weblog</description>
	<lastBuildDate>Fri, 27 Nov 2009 19:32:30 -0800</lastBuildDate>
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		<title>By: marymcl</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-34681</link>
		<dc:creator>marymcl</dc:creator>
		<pubDate>Fri, 13 Feb 2009 15:06:56 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-34681</guid>
		<description>Yes indeed - Actually the PJM site has some of the same energy about it as the old CP (sadly I noticed the old site has wiped away all the comments)

Anyway, it&#039;s nice to run into someone from way back when!</description>
		<content:encoded><![CDATA[<p>Yes indeed &#8211; Actually the PJM site has some of the same energy about it as the old CP (sadly I noticed the old site has wiped away all the comments)</p>
<p>Anyway, it&#8217;s nice to run into someone from way back when!</p>
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		<title>By: Mark Buehner</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-34448</link>
		<dc:creator>Mark Buehner</dc:creator>
		<pubDate>Thu, 12 Feb 2009 14:41:15 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-34448</guid>
		<description>I am! It&#039;s been a long time eh?</description>
		<content:encoded><![CDATA[<p>I am! It&#8217;s been a long time eh?</p>
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		<title>By: marymcl</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-34275</link>
		<dc:creator>marymcl</dc:creator>
		<pubDate>Wed, 11 Feb 2009 19:26:39 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-34275</guid>
		<description>This is too funny 

http://corner.nationalreview.com/post/?q=NzA5ZGVlNDRiZTQ3ZDVjOTZhMjZmY2MxODRkNzVmNjI=

Mark Buehner - are you he of the same name who used to comment at the Command Post?</description>
		<content:encoded><![CDATA[<p>This is too funny </p>
<p><a href="http://corner.nationalreview.com/post/?q=NzA5ZGVlNDRiZTQ3ZDVjOTZhMjZmY2MxODRkNzVmNjI=" rel="nofollow">http://corner.nationalreview.com/post/?q=NzA5ZGVlNDRiZTQ3ZDVjOTZhMjZmY2MxODRkNzVmNjI=</a></p>
<p>Mark Buehner &#8211; are you he of the same name who used to comment at the Command Post?</p>
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		<title>By: Mark Buehner</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-34114</link>
		<dc:creator>Mark Buehner</dc:creator>
		<pubDate>Tue, 10 Feb 2009 21:45:29 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-34114</guid>
		<description>&quot;You know what I&#039;ve noticed? Nobody panics when things go &quot;according to plan.&quot; Even if the plan is horrifying! If, tomorrow, I tell the press that, like, a gang banger will get shot, or a truckload of soldiers will be blown up, nobody panics, because it&#039;s all &quot;part of the plan.&quot; But when I say that one little old mayor will die, well then everyone loses their minds!&quot;

The Joker.</description>
		<content:encoded><![CDATA[<p>&#8220;You know what I&#8217;ve noticed? Nobody panics when things go &#8220;according to plan.&#8221; Even if the plan is horrifying! If, tomorrow, I tell the press that, like, a gang banger will get shot, or a truckload of soldiers will be blown up, nobody panics, because it&#8217;s all &#8220;part of the plan.&#8221; But when I say that one little old mayor will die, well then everyone loses their minds!&#8221;</p>
<p>The Joker.</p>
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		<title>By: Cascajun</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-34102</link>
		<dc:creator>Cascajun</dc:creator>
		<pubDate>Tue, 10 Feb 2009 20:43:17 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-34102</guid>
		<description>Worshipping the gods of process....

&lt;a href=&quot;http://www.windsofchange.net/archives/zero-thoughtfulness.html&quot; rel=&quot;nofollow&quot;&gt;Zero-Thoughtfulness&lt;/a&gt;

A Colorado school district has suspended a member of the Young Marines youth leadership group after students saw drill props in her vehicle.</description>
		<content:encoded><![CDATA[<p>Worshipping the gods of process&#8230;.</p>
<p><a href="http://www.windsofchange.net/archives/zero-thoughtfulness.html" rel="nofollow">Zero-Thoughtfulness</a></p>
<p>A Colorado school district has suspended a member of the Young Marines youth leadership group after students saw drill props in her vehicle.</p>
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		<title>By: marymcl</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-34020</link>
		<dc:creator>marymcl</dc:creator>
		<pubDate>Tue, 10 Feb 2009 15:37:57 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-34020</guid>
		<description>&quot;as slowly we die on their tether&quot;

We can carve that in stone, assuming we haven&#039;t gone blind first - As crazy as Doug&#039;s story sounds, it&#039;s not hard to believe. I can just imagine the paperwork that goes with it, too - one of the weirder things about the conversion to EMR is the amount of attendant paperwork it has generated. Don&#039;t ask me why, but it&#039;s there. The &quot;paperless office&quot; is anything but.

I should add that all this stuff has a debilitating effect on morale, in more ways than one. Urban clinics and hospitals are high-stress environments to begin with and complaining about things you have no chance whatever of changing just drags everyone down. It&#039;s not an easy call

And believe it or not, there are doctors who think increasing government oversight is a good thing. I recently asked a couple of them flat-out who they&#039;d rather be evaluated by - the government or their peers - and they both said &quot;the government, of course&quot; Of course!?!</description>
		<content:encoded><![CDATA[<p>&#8220;as slowly we die on their tether&#8221;</p>
<p>We can carve that in stone, assuming we haven&#8217;t gone blind first &#8211; As crazy as Doug&#8217;s story sounds, it&#8217;s not hard to believe. I can just imagine the paperwork that goes with it, too &#8211; one of the weirder things about the conversion to EMR is the amount of attendant paperwork it has generated. Don&#8217;t ask me why, but it&#8217;s there. The &#8220;paperless office&#8221; is anything but.</p>
<p>I should add that all this stuff has a debilitating effect on morale, in more ways than one. Urban clinics and hospitals are high-stress environments to begin with and complaining about things you have no chance whatever of changing just drags everyone down. It&#8217;s not an easy call</p>
<p>And believe it or not, there are doctors who think increasing government oversight is a good thing. I recently asked a couple of them flat-out who they&#8217;d rather be evaluated by &#8211; the government or their peers &#8211; and they both said &#8220;the government, of course&#8221; Of course!?!</p>
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		<title>By: Doug</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-33996</link>
		<dc:creator>Doug</dc:creator>
		<pubDate>Tue, 10 Feb 2009 13:50:03 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-33996</guid>
		<description>Today Lindbaugh had an example from the Euros:

Most of us would agree that too much often gets spent at the end of life for medical treatment that only benefits the billing.
…but bring the govt into the decision making and here’s what the Euros came up with:

If someone had Macular Degeneration, they had to go blind in one eye before they could get medication!

Complete Insanity, immorality, and depravity.

The Euros protested that one for three years and finally got it changed.</description>
		<content:encoded><![CDATA[<p>Today Lindbaugh had an example from the Euros:</p>
<p>Most of us would agree that too much often gets spent at the end of life for medical treatment that only benefits the billing.<br />
…but bring the govt into the decision making and here’s what the Euros came up with:</p>
<p>If someone had Macular Degeneration, they had to go blind in one eye before they could get medication!</p>
<p>Complete Insanity, immorality, and depravity.</p>
<p>The Euros protested that one for three years and finally got it changed.</p>
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		<title>By: buddy larsen</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-33953</link>
		<dc:creator>buddy larsen</dc:creator>
		<pubDate>Tue, 10 Feb 2009 06:35:52 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-33953</guid>
		<description>&quot;We&#039;re all in this&quot; they say, &quot;...together&quot;

&quot;...a burden shared, and light as a feather!&quot;

they assume that mere taxes
have so upset praxis

as slowly we die on their tether.</description>
		<content:encoded><![CDATA[<p>&#8220;We&#8217;re all in this&#8221; they say, &#8220;&#8230;together&#8221;</p>
<p>&#8220;&#8230;a burden shared, and light as a feather!&#8221;</p>
<p>they assume that mere taxes<br />
have so upset praxis</p>
<p>as slowly we die on their tether.</p>
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		<title>By: marymcl</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-33946</link>
		<dc:creator>marymcl</dc:creator>
		<pubDate>Tue, 10 Feb 2009 05:26:14 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-33946</guid>
		<description>I don&#039;t know buddy, but there&#039;s gotta be a limerick in there somewhere ;)</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know buddy, but there&#8217;s gotta be a limerick in there somewhere <img src='http://pajamasmedia.com/richardfernandez/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> </p>
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		<title>By: Bob Smith</title>
		<link>http://pajamasmedia.com/richardfernandez/2009/02/08/the-buck-passed-here/comment-page-2/#comment-33940</link>
		<dc:creator>Bob Smith</dc:creator>
		<pubDate>Tue, 10 Feb 2009 04:43:23 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/richardfernandez/?p=2196#comment-33940</guid>
		<description>&lt;i&gt;Keeping doctors informed of the newest medical findings is important, but enforcing uniformity goes too far.&lt;/i&gt;

Important how? More to the point, what doctor doesn&#039;t keep themselves informed of the latest medical findings in their specialty? Since when is government needed to remind doctors to do so? And how is such information useful, when the latest stuff is almost by definition the most expensive stuff and therefore unlikely to be deemed cost effective by our health care overlords?</description>
		<content:encoded><![CDATA[<p><i>Keeping doctors informed of the newest medical findings is important, but enforcing uniformity goes too far.</i></p>
<p>Important how? More to the point, what doctor doesn&#8217;t keep themselves informed of the latest medical findings in their specialty? Since when is government needed to remind doctors to do so? And how is such information useful, when the latest stuff is almost by definition the most expensive stuff and therefore unlikely to be deemed cost effective by our health care overlords?</p>
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